| NPI | 1609978543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 51370) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL SW7227) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2008-03-31 |